Inadequate Nasal Tip Rotation, Projection and Position Improved.

Improved frontal view from closed rhinoplasty. The following diagnoses were made preoperatively: Enlarged Nasal Tip Tip Asymmetry Deviated Nasal Septum Broad Nasal Bones Osseo-Cartilaginous Hump Underprojected Enlarged Nose The individual procedures performed during the procedure included: Closed Rhinoplasty (No Scar) Tip Plasty Septoplasty Lateral Osteotomy Nasal Bones Cartilage_Bone Hump Reduction More

Inadequate projection and rotation of the nasal tip improved through closed rhinoplasty. More

Tip projection reflects the ability of the alar cartilages to support the tip independently of the height of the nasal dorsum. If the tip hangs from the septal angle, then it is inadequately projecting. Increased tip projection cannot be rendered adequate by reduction methods alone: the surgeon must use some method of enhancement such as alar cartilage modification, tip grafts or struts to improve projection. More